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NPI 1134304330ActiveOrganization· PACE Provider Organization· Bastrop, LA
PACE Provider Organization in Bastrop, Louisiana, registered in NPPES in January 2008. The authorized official on file is Juanetta Martin, LPN, Owner.
Overview
| NPI | 1134304330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2008 |
| Last updated in NPPES | Jan 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | PCA8246 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other PACE Provider Organization providers in Bastrop
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